PRESTIGE IMAGING LLC (NPI# 1578503165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578503165 |
| Entity Type | Organization |
| Organization Name | PRESTIGE IMAGING LLC |
| Other Organization Name | PRESTIGE IMAGING AT UNIVERSITY GROVES |
| Practice Address |
2415 University Pkwy University Health Park, Builing 3, Suite 112 Sarasota FL 34243-2809 |
| Mailing Address |
Po Box 919028 Orlando FL 32891-9028 |
| Practice Telephone | 9414872130 |
| Practice Fax Number | 9414872138 |
| Mailing Telephone | 7277939300 |
| Mailing Fax Number | 7277930052 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2009-03-05 |
| Authorized Official Name | DR. RICHARD JAY LICHTENSTEIN (PRESIDENT) |
| Authorized Official Telephone | 9414872550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 273488500 | 05 | |
| FL | BCBS | V3087 | 01 |
| FL | RR MEDICARE | DE3457 | 01 |
| Other Name | Type Code |
|---|---|
| Prestige Imaging at University Groves | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407014467 | Prestige Imaging LLC | Clinic/Center | 1616 Wabash Ave, Fort Worth, TX 76107-6528 | 2008-05-27 |
| 1205871019 | Prestige Imaging LLC | Clinic/Center | 1702 S Clack St, Abilene, TX 79605-4611 | 2006-06-17 |
| Street Address |
2415 UNIVERSITY PKWY UNIVERSITY HEALTH PARK, BUILING 3, SUITE 112 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34243-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326099649 | John Pylant Monhollon | Family Medicine | 2415 University Pkwy, Suite 218, Sarasota, FL 34243-2809 | 2006-05-12 |
| 1225493182 | All Current Psychiatry,inc | Internal Medicine | 2415 University Pkwy, Ste 216, Sarasota, FL 34243-2809 | 2015-12-19 |
| 1871983924 | James H Johnson Jr Md Pa | Pediatrics | 2415 University Pkwy, Ste 216, Sarasota, FL 34243-2809 | 2015-01-28 |
| 1326397423 | Radiant Diagnostic Imaging Inc | Radiology | 2415 University Pkwy, Suite 112, Bldg 3, Sarasota, FL 34243-2809 | 2012-09-05 |
| 1255621801 | Florida Integrative Medical Center,inc | Family Medicine | 2415 University Pkwy, Suite 218, Sarasota, FL 34243-2809 | 2011-04-17 |
| 1740420439 | Brian David Carlson | Family Medicine | 2415 University Pkwy, Suite 111, Sarasota, FL 34243-2809 | 2009-02-20 |
| 1740446244 | Lisa Lee Azar | Occupational Therapy Assistant | 2415 University Pkwy, Suite 218, Bldg. 2, Sarasota, FL 34243-2809 | 2008-08-04 |
| 1780841098 | Susan C Tefft | Physical Therapist | 2415 University Pkwy, Building 3 Suite 216, Sarasota, FL 34243-2809 | 2008-05-22 |
| 1851569701 | Andres Abreu | Radiology | 2415 University Pkwy, Suite 112 Bld 3, Sarasota, FL 34243-2809 | 2008-02-13 |
| 1881888501 | Easterseals Southwest Florida | Day Training, Developmentally Disabled Services | 2415 University Pkwy, Bld 3 Suite 218, Sarasota, FL 34243-2809 | 2007-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759667 | Justin M. Lampert | Counselor | 2280 Trailmate Drive, Suite 101, Sarasota, FL 34243 | 2020-01-11 |
| 1851879217 | Jesse Lebaron | Dermatology | 8451 Shade Ave Ste 205, Sarasota, FL 34243 | 2018-07-29 |
| 1053839514 | Leslie Schulman | Audiologist | 5837 Carriage Drive, Sarasota, FL 34243 | 2017-09-05 |
| 1841711058 | Gabriela Rocha | Dentist | 1500 Pine Crest Way, North Port, FL 34243 | 2017-06-28 |
| 1386004745 | J&j Shine Corp | Community/Behavioral Health | 8051 N. Tamiami Trail, Suite E2, Box 37, Sarasota, FL 34243 | 2016-02-29 |
| 1023482288 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3315 University Pkwy, 103, Sarasota, FL 34243 | 2015-11-25 |
| 1346626009 | Cora Health Services Inc. | Clinic/Center | 6150 North Lockwood Ridge, Sarasota, FL 34243 | 2015-08-05 |
| 1851682462 | Timothy Clifton Prichard | Speech-Language Pathologist | 5770 Timber Lake Dr, Sarasota, FL 34243 | 2011-04-29 |
| 1548568702 | Eyeglass World | Technician/Technologist | 77 North Cattlemen Road, Sarasota, FL 34243 | 2011-03-11 |
| 1104051978 | Hillstrom Facial Plastic Surgery Pa | Otolaryngology | 5911 N. Honore Ave., Suite 120, Sarasota, FL 34243 | 2009-05-22 |
| Find all providers in zip 34243 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790050847 | Key Radiology Associates LLC | Radiology | 5832 Tidewood Ave, Sarasota, FL 34231-3132 | 2012-03-21 |
| 1386845733 | Midtown Diagnostics LLC | Radiology | 1215 S East Ave South, Ste 207, Sarasota, FL 34239-2342 | 2007-05-31 |
| 1346362506 | Stewart Braunstein | Radiology | 1257 Treebay Lane, Sarasota, FL 34242 | 2007-04-06 |
| 1255404646 | Robert Wilcox | Radiology | 4563 Windsor Park, Sarasota, FL 34235-2602 | 2006-11-16 |
| 1922027994 | Udayan Agrawal | Radiology | 4909 Sabal Lake Cir, Sarasota, FL 34238-4459 | 2006-07-19 |
| 1750322699 | New Century Radiologists LLC | Radiology | 4411 Bee Ridge Rd, #357, Sarasota, FL 34233 | 2006-06-10 |
| 1285673293 | Christopher Sage Lawton | Radiology | 5320 Anthony Lane, Sarasota, FL 34233-1033 | 2006-06-05 |
| 1366407553 | Ernest Wollin | Radiology | 1524 Pine Bay Dr, Sarasota, FL 34231-3550 | 2006-04-19 |
| 1093774556 | Cynthia R. Bloom | Radiology | 1700 South Tamiami Trail, Sarasota, FL 34239 | 2006-03-22 |
| 1669455218 | Melissa Glantz Protigal | Radiology | 5215 Siesta Cove Dr, Sarasota, FL 34242-1708 | 2005-11-28 |
| Find all providers in SARASOTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.